Home | News & Analysis
Part B News
07/22/2024
COVID-19 public health emergency (PHE) policies will be a factor in CMS telehealth policy even after the existing telehealth waivers expire on Dec. 31, 2024.
07/22/2024
New services are proposed to cover providers’ treatment of at-risk patients and for the provision of cognitive therapy via digital devices, but there’s some question as to whether the payment rates will spur adoption.
07/22/2024
CMS proposes a series of “enhanced care management” codes that would incentivize providers to apply care management methods to their primary and cardiac care patients.
07/22/2024
Start your appraisal of CMS’ plans for a new care management service by closely reviewing the codes’ descriptors. The agency plans to introduce an advanced primary care management (APCM) service that CMS describes as an “enhanced care management” service in the proposed 2025 Medicare physician fee schedule.
07/22/2024
Most of the changes to the Quality Payment Program (QPP) and its Merit-based Incentive Payment System (MIPS) and Advanced alternative payment model (APM) tracks in the 2025 physician fee schedule proposed rule are modest. But the biggest story is perhaps the stalled status of a major MIPS reform, and its possible role as a catalyst in changing MIPS in other ways.
07/22/2024
In the 2025 physician fee schedule proposed rule, the Medicare Shared Savings Program (MSSP) is trying a few new things, including a program to let more MSSP accountable care organizations (ACO) get their savings up front — but at a price.
07/22/2024
CMS seeks to maintain a focus on behavioral health management, debuting a range of new HCPCS codes that, should they become finalized, would add a bevy of new billing opportunities for Part B providers come Jan. 1, 2025.
07/15/2024
Effective Oct. 1, coders will now have a way to capture a post-acute encounter for sepsis aftercare with the new code Z51.A (Encounter for sepsis aftercare).
07/15/2024
CMS recently released an updated MLN fact sheet reminding providers about documentation requirements for requests from its Comprehensive Error Rate Testing (CERT) program.
07/15/2024
The ED is a demanding setting where split-second decisions must be made. For coders and providers, this means data must be gathered and synthesized quickly when life-or-death outcomes hang in the balance. Consider the following coding and reporting guidance for ED critical care to ensure the documentation accurately represents the services.

Login

User Name:
Password:
Welcome to the new Part B News Online. If you are a returning user having trouble logging in, please click here.
Back to top